RxDoctor Payments Data

Yolanda Marcos, MD

Internal Medicine · San Antonio, TXNPI 1104845445

Payments from drug & device makers

$12,449in general payments, 2019–2025

Across 709 payments — averaging $17.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$1K
  • Novo Nordisk$1K
  • Amgen$1K
  • AstraZeneca$991
  • GSK$779
  • Lilly USA, LLC$730
  • plus $6K from 54 others

What the payments were for

  • Food & beverage$12,441100%
  • Education$80%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

CompanyPaymentsTotal
AbbVie(2 entities)112$1,429
Novo Nordisk71$1,224
Amgen(2 entities)91$1,197
AstraZeneca35$991
GSK38$779
Lilly USA, LLC55$730
Boehringer Ingelheim24$512
Pfizer32$469
Merck30$405
Teva Pharmaceuticals USA, Inc.20$392
Abbott12$350
Takeda Pharmaceuticals U.S.A., Inc.14$265
Esperion Therapeutics, Inc.14$235
Amarin Pharma, Inc.10$222
Bayer6$202
Sanofi Pasteur Inc.8$161
Sanofi-aventis U.S. LLC7$152
Merz North America, Inc.1$150
Astellas Pharma US Inc9$149
Exact Sciences8$145
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC9$144
Phathom Pharmaceuticals, Inc.2$138
Galderma Laboratories, L.p.1$119
Acella Pharmaceuticals, LLC2$108
Johnson & Johnson(2 entities)6$103
Axsome Therapeutics, Inc.4$101
Otsuka America Pharmaceutical, Inc.5$96
Biohaven Pharmaceuticals, Inc.5$85
Shire North American Group Inc4$84
Sunovion Pharmaceuticals Inc.5$81
Biohaven Pharmaceutical Holding Company Ltd.4$78
Sumitomo Pharma America, Inc.4$78
Avanir Pharmaceuticals, Inc.4$75
Tolmar, Inc.4$64
Biotronik Inc.1$63
Novartis3$58
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)2$51
Althera Pharmaceuticals LLC6$49
Paratek Pharmaceuticals, Inc.3$49
Ardelyx, Inc.2$45
Currax Pharmaceuticals LLC2$35
Corcept Therapeutics2$34
Halozyme Inc2$34
Shield Therapeutics Inc2$33
Vistapharm, Inc.2$32
Antares Pharma, Inc.2$31
Corium, LLC2$31
Organogenesis Inc.1$25
Ultragenyx Pharmaceutical Inc.1$24
Dexcom, Inc.1$23
Regeneron Healthcare Solutions, Inc.1$23
Lundbeck LLC1$21
Inspire Medical Systems, Inc.1$20
Ironshore Pharmaceuticals Inc.1$20
Kowa Pharmaceuticals America, Inc.1$19
Nevro Corp.1$19
Hologic Sales And Service, LLC1$18
Si-bone, Inc.1$18
Linus Health, Inc.1$18
Alk-abello, Inc1$17

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$12,449 in reported general payments places this provider in the 90th percentile of 7,675 internal medicine providers in Texas.

See all internal medicine providers in Texas

Medicare billing

Part B allowed, 2024
$733,234
Medicare patients
869
Services billed
11,349

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
OzempicSemaglutide87$115,496
ArexvyRsvpref3 Antigen/As01e/Pf341$104,338
MounjaroTirzepatide72$83,130
FarxigaDapagliflozin Propanediol65$64,906
JanuviaSitagliptin Phosphate43$51,918
ShingrixVaricella-Zoster Ge/As01b/Pf202$44,688
JardianceEmpagliflozin24$39,406
MyrbetriqMirabegron24$31,639
EliquisApixaban29$30,008
Repatha SureclickEvolocumab27$24,987
TrulicityDulaglutide19$23,610
LinzessLinaclotide20$18,030
TrintellixVortioxetine Hydrobromide12$14,841
Trelegy ElliptaFluticasone/Umeclidin/Vilanter16$13,912
Bydureon BciseExenatide Microspheres11$10,819

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
GSKArexvy, Shingrix, Trelegy Ellipta$779$162,938559 claims
Novo NordiskOzempic$1,224$115,49687 claims
Lilly USA, LLCMounjaro, Trulicity$730$106,74091 claims
AstraZenecaFarxiga, Symbicort$991$69,17976 claims
MerckJanuvia$405$51,91843 claims
Boehringer IngelheimJardiance$512$39,40624 claims
Astellas Pharma US IncMyrbetriq$149$31,63924 claims
PfizerEliquis$469$30,00829 claims
AbbVieLinzess, Synthroid$1,429$22,46890 claims
Takeda Pharmaceuticals U.S.A., Inc.Trintellix$265$14,84112 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 7,675 internal medicine providers in Texas.

Other internal medicine in San Antonio

See the full list for Texas

Where these figures come from

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